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IIIA trust reports nearly $2.3 million in program savings, growth to 6,500 members
Summary
Amy Manning of the IIIA told Hayden City Council that the self-funded health trust ended the year with $2.3 million in savings from new medical programs, nearly 6,500 members including dependents, and stop-loss premium increases tied to several high-cost claims.
Amy Manning, executive director of the intergovernmental IIIA self-funded health trust, presented the trust's annual report to Hayden City Council on April 22, outlining membership growth, program savings and cost drivers.
Manning reported the trust now serves 14 agencies across Idaho and nearly 6,500 members including dependents. She said nearly $2,300,000 in savings for the year were realized through programs including telehealth, maternity management, infusion management, digital at-home physical therapy and an Rx patient-assistance/copay program. "89% of all funds ' or 89 cents out of every dollar ' went to pay claims," Manning told council, describing the trust's lean administrative structure and large share of contributions going to medical claims.
Manning explained the trust purchases stop-loss (catastrophic) coverage; premiums rose about 16% because several very large claimants triggered reclamation under stop-loss, including one member for whom the trust paid nearly $4.2 million in claims and received almost $4 million back from the carrier. She said the trust's actuary calculates a reserve (IBNR/claim reserve) that the Department of Insurance requires and that those reserves are being maintained.
Manning highlighted the trust's mental-health program, which was launched in 2020 and became the trust's largest program by utilization last year; the trust recorded 2,794 EAP visits and operates a first-responder helpline for agencies with paramedics and firefighters. She also promoted wellness screenings, noting the trust identified elevated lipid panels, undiagnosed diabetes and multiple skin cancers through on-site screenings.
Staff thanked IIIA for providing its quarterly board meeting facility in Hayden and encouraged agencies to use the trust's services. Council did not take any action on the report; Manning said trustees and staff would be available for follow-up questions and that the trust was holding its quarterly meeting in Hayden the following day.
